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Organization
GASLITE DENTAL HEALTH PC
Active
Organization
GASLITE DENTAL HEALTH PC
Active
Other names
Smile On Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CHARLES (OPERATION MANAGER)
(843) 557-5396
Entity
Organization
Contact information
Practice address
5621 RIVERS AVE, NORTH CHARLESTON, SC 29406-6022
(843) 572-9909
Mailing address
700 RAVEN ROCK LN APT 301, DUNCAN, SC 29334-8570
(843) 557-5396
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
06/16/2018
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